Listas para Publicar en el Portal-1 (2) - Triple-S Salud
Listas para Publicar en el Portal-1 (2) - Triple-S Salud
Listas para Publicar en el Portal-1 (2) - Triple-S Salud
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Procedure &<br />
Place of Service<br />
Tarifas<br />
Servicios de <strong>Salud</strong><br />
Description Fee<br />
42835-00 ad<strong>en</strong>oidectomy sec under age 12 $97.50<br />
42836-00 ad<strong>en</strong>oidectomy sec age 12/> $107.25<br />
42842-00 rad rescj tonsil w/o clsr $468.00<br />
42844-00 rad rescj tonsil clsr w/local flap $721.50<br />
42845-00 rad rescj tonsil clsr w/oth flap $1,170.00<br />
42860-00 exc tonsil tags $97.50<br />
42870-00 exc/dstrj lngl tonsil any meth spx $97.50<br />
42890-00 lmtd pharyngectomy $565.50<br />
42892-00 rescj lat phrngl wall/pyriform sinus dir clsr $755.63<br />
42894-00 rescj phrngl wall clsr w/flp or flp w/mvasc anas $1,121.25<br />
42900-00 sutr pharynx wnd/inj $146.25<br />
42950-00 pharyngoplasty plstc/rcnstv opration pharynx $546.00<br />
42953-00 pharyngoesophgl rpr $360.75<br />
42955-00 pharyngostomy fstlj pharynx xtrnl feeding $234.00<br />
42960-00 ctrl oropharyngeal hemrrg 1/2 smpl $116.71<br />
42961-00 ctrl oropharyngeal hemrrg 1/2 comp req hospitj $286.07<br />
42962-00 ctrl oropharyngeal hemrrg 1/2 w/sec surg ivntj $351.00<br />
42970-00 ctrl nasphryngl hemrrg 1/2 smpl w/pst nsl packs $82.88<br />
42971-00 ctrl nasphryngl hemrrg 1/2 comp req hospization $316.78<br />
42972-00 ctrl nasphryngl hemrrg 1/2 w/sec surg ivntj $337.84<br />
43020-00 esophagotomy crv appr w/rmvl fb $585.00<br />
43030-00 cricopharyngeal myotomy $546.00<br />
43045-00 esophagotomy thrc appr w/rmvl fb $780.00<br />
43100-00 exc les esoph w/prim rpr crv appr $643.50<br />
43101-00 exc les esoph w/prim rpr thrc/abdl appr $838.50<br />
43107-00 tot esphg w/o thorcom phrngstrsty/egst $1,306.50<br />
43108-00 tot esphg w/o thorcom colon ntrpstj/int rcnstj $1,633.03<br />
43112-00 tot esphg w/thorcom w/phrngstrsty/egst $994.50<br />
43113-00 tot esphg w/thorcom w/colon ntrpstj/int rcnstj $1,550.34<br />
43116-00 prtl esphg crv w/fr intstinal grf $1,557.56<br />
43117-00 prtl esphg dstl thorcom abdl inc egst $1,625.57<br />
43118-00 prtl esphg dstl thorcom abdl inc ntrpstj/rcnstj $1,608.46<br />
43121-00 prtl esphg dstl thorcom only thrc egst $1,391.72<br />
43122-00 prtl esphg thoracoabdl/abdl appr egst $1,170.00<br />
43123-00 prtl esphg thoracoabdl/abdl appr ntrpstj/rcnstj $1,608.46<br />
43124-00 tot/prtl esphg w/o rcnstj w/crv esophagostomy $1,379.43<br />
43130-00 diverticulectomy hypopharynx/esoph crv appr $546.00<br />
43135-00 diverticulectomy hypopharynx/esoph thrc appr $804.38<br />
43200-00 esphgsc rgd/flx dx +-collj spec br/wa spx $146.25<br />
43201-00 esphgsc rgd/flx dired sbmcsl njx any sbst $110.37<br />
43202-00 esphgsc rgd/flx w/bx 1/mlt $195.00<br />
43204-00 esphgsc rgd/flx w/njx sclerosis esophgl varc $375.38<br />
43205-00 esphgsc rgd/flx w/band lig esophgl varc $263.25<br />
43215-00 esphgsc rgd/flx w/rmvl fb $243.75<br />
43216-00 esphgsc rgd/flx rmvl tum hot bx forceps/caut $243.75<br />
43217-00 esphgsc rgd/flx w/rmvl tum snare tq $175.50<br />
43219-00 esphgsc rgd/flx w/insj plstc tube/st<strong>en</strong>t $204.75<br />
43220-00 esphgsc rgd/flx w/balo dilat < 30 mm diam $195.00<br />
43226-00 esphgsc rgd/flx w/insj gd wire dilat $195.00<br />
43227-00 esphgsc rgd/flx w/ctrl bld $312.00<br />
60
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